Vaginal cancer in patient presenting with advanced pelvic organ prolapse: case report and literature review

Joseph T. Kowalski, Department of Obstetrics and Gynecology, University of Iowa, Iowa City, Iowa
Johanna Savage, Department of Pathology, University of Iowa, Iowa City, Iowa
Catherine S. Bradley, Department of Obstetrics and Gynecology, University of Iowa, Iowa City, Iowa

Abstract

Background: Vaginal cancer presenting concurrently with stage 4 uterovaginal prolapse is a rare occurrence, representing less than 1% of all gynecologic malignancies.

Case: We review the case of an 82-year-old woman who presented for care of prolapse. Examination demonstrated complete uterovaginal prolapse and a vaginal ulcer, later confirmed to be vaginal cancer.

Conclusion: The management of these complicated patients is limited by a lack of data available to guide treatment. This case and the literature review highlight the need for a multi-disciplinary approach to treatment and a high level of clinical suspicion for diagnosis of these very challenging cases.

 

URL

https://ir.uiowa.edu/pog_in_press/30